Medical Office Visit costs

[Guest guest]

I am currently on Xolair through Blue Cross in California. I am

fortunate for the moment to receive the drug as part of my " pharmacy

plan " . I only have to pay the $20 copay. But, one, my doctor is

beginning to balk at allowing the self-injection and, two, Precision

RX SS constantly tells me with each re-fill that Blue Cross might

begin to disallow self-injection, which would thus make the Xolair

fall under the " Medical Office Visit " portion of my insurance.

The difference would be $20 co-pay per month under the self-injection

to 20% of the cost of each vile, about $100 per vile and $90 for each

injection. So, I go from $20 a month to about $580 per month. In

addition, I travel for a month or more at a time, so all my dosages

would be delivered to my office thus preventing me from self-injection

while I travel. Anyone else who faces a similar set of issues.

Personally, I believe Blue Cross CA has used the " black box " warning

to charge more for Xolair through the " medical office visit " part of

their plan.